Active NPI
Janet Work Stine, OTRL
- Pediatric Occupational Therapist
- Maplewood, MN
National Provider Identifier
1801930482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 100823
- Practice address
- 2495 Maplewood Drive
Suite 313
Maplewood, MN 55109-1913 - Phone
- (651) 770-8884
- Fax
- (651) 770-8151
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 100823 | MN | Primary |
Addresses
Primary practice location
2495 Maplewood Drive
Suite 313
Maplewood, MN 55109-1913
Mailing address
2814 Keller Parkway
Maplewood, MN 55109
Phone (651) 332-1737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100823 | MN | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238457600000",
"number": "1801930482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2814 KELLER PARKWAY",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "55109",
"telephone_number": "651-332-1737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 MAPLEWOOD DRIVE",
"address_2": "SUITE 313",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091913",
"telephone_number": "651-770-8884",
"fax_number": "651-770-8151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STINE",
"first_name": "JANET",
"middle_name": "WORK",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2009-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MN",
"license": "100823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.